fac

HBCU Learning Collaborative

Virtual Simulation Webinar

August 11, 2020

Today’s Webinar

Vernell DeWitty, PhD, RN

Director of Diversity and Inclusion,

American Association of Colleges

of Nursing and Consultant, Campaign for Action

• Provide purpose, standards,

expectations, and

requirements for virtual

clinical simulations.

• Provide program perspective,

implementation, and

recommendations for virtual

clinical simulations.

• Introduce and provide a walk

through sample of available

virtual clinical simulation programs.

Presenter

Professor, University of South

Florida College of Nursing

Teresa Gore, PhD,

DNP, FAAN

Presenter

Executive Director of Simulation

and Assistant Professor at

Columbia University School of

Nursing’s Helene Fuld Health

Trust Simulation Center

Kellie Bryant, DNP,

WHNP, CHSE

Presenter

• Postdoctoral fellow at Emory

University

• Future of Nursing Scholar and

New Careers in Nursing

Scholar, Robert Wood

Johnson Foundation

Gaea Daniel, PhD, RN

Teresa Gore, PhD, DNP, FAAN

Professor

University of South Florida College of Nursing

Disclosure

• Dr. Teresa Gore

– None

Objectives

• Provide participants with

– Purpose

– Standards

– Expectations

– Requirements

for virtual clinical simulations.

International Nursing Association for

Clinical Simulation and Learning (INACSL)

• Simulation Design

• Outcomes and

Objectives

• Facilitation

• Debriefing

• Participant Evaluation

• Professional Integrity

• Simulation – Enhanced

Interprofessional Education

• Simulation Operations

• Simulation Glossary

INACSL Standards of Best Practice

Simfographic© and INACSL Standards

of Best Practice: Simulation ©

Objectives

MEASURABLE APPROPRIATE TO LEVEL OF

KNOWLEDGE AND EXPERIENCE OF PARTICIPANTS

ADDRESS DOMAINS OF

LEARNING

CONGRUENT WITH OVERALL

PROGRAM OUTCOMES

INCORPORATE EVIDENCE-

BASED PRACTICE

HOLISTIC CARE OF THE PATIENT

ACHIEVABLE IN AN

APPROPRIATE TIMEFRAME

Kellie Bryant, DNP, WHNP, CHSE

Executive Director of Simulation and Assistant

Professor Columbia University School of Nursing’s

Helene Fuld Health Trust Simulation Center

Objectives

• Discuss implementation of virtual simulations.

• Describe strategies for using simulation to promote

cultural awareness.

• Summarize evaluation methods for virtual simulation.

Problem: Closure of academic setting

Needs: Meet outcomes for clinical practice and simulation remotely

Strategies: Remote, hybrid & screen-based simulation

Implementation: Selection of resources, training for faculty & students, integration into curriculum

Evaluation: Are outcomes being met? Is it effective?

Healthcare Education

Didactic

Lectures Exams

Clinical

Patient Care experiences

Simulation

Patient Simulators

Standardized Patients

Task Trainers

Extended Reality

Screen-Based

Simulation Programs

Synchronous

• Live streamed hybrid

simulation

• Facilitated Screen-

based

Asynchronous

• Screen-based

simulation

• Online case study

• Mobile Applications

Patient Care Simulation

• Simulates real patient

encounters

• Used to evaluate

competency and clinical

knowledge attainment

• Enhances students

clinical reasoning,

critical thinking,

situational awareness,

communication,

teamwork,& clinical

judgment skills

Commercial Screen Based SimulationPrograms

• Oxford Health

• Shadow Health

• Aquifer

• iHuman

• Vsim

• Body interact

• ATI Real Life Scenarios

Online Case Studies

Earl is a 60-year-old healthy male who presents to his annual exam

with 6 month history of abdominal pain and occasional diarrhea.

Karen is a 27-year-old female with a 2-year history of irritable bowel syndrome (IBS-D).

Medscape Education

Patient Simulation CasesMeet and Treat Virtual Patients with Abdominal Pain and Diarrhea: A Patient

Simulation

SEE KAREN SEE EARL

Telehealth Standardized Patient Scenarios

• Virtual open practice

• Mail students skills

training kits

• Mobile applications

• Screen-based

programs

Psychomotor Skills Acquisition

Mobile Applications

• Learning Nurse

• Medical Joyworks, LLC

• SkillStat

Online Clinical Skills Courses

The MammaCare Foundation

The Introduction of Clinical

Breast Examination

Standards with Hands-on

Practice

Course Topics:

• Normal breast structure

• Normal change in the

breast

• Disorders of the breast

• Development of breast

cancer

NextGenU.org

COVID-19 Orientation

for Frontline Healthcare

Providers in the Acute

Care Setting

Preparing Students to Care for

Patients with Covid-19

https://www.etrainetc.com/covid19PPE-emicrosim

• Ten minute screen-

based simulation

donning and doffing

of PPE.

• Based on CDC

guidelines.

Just-in-Time Zoom Training

Evaluation Methods

• Evaluation rubric

• Direct feedback

from Standardized

Patient

• Computer

generated

evaluation

• Formative feedback

from instructor

• Debriefing

INACSL COVID-19 Mini Webinars Series

• Evidence to Support Virtual

Simulation as an Effective

Pedagogy During the

Pandemic: Research and

Policy Implications

• Debriefing Virtual Simulation:

The Evidence and

Recommendations

• Introduction to the CAN-Sim

Shared Repository of Virtual

Simulation Games and Other

Resources

• Delivering Virtual Simulations

through on-line Platforms

• Standards of Best Practice

Simulation- A Lens Toward

Virtual Simulation

• Prebriefing Guide for Online,

Remote and Virtual

Simulations

Access to the webinars can be found:

https://www.inacsl.org/education/webinars/

Resources

• Society for Simulation in Health Care

• International Nursing Association for Clinical

Simulation and Learning

• National League for Nursing

• Quality and Safety Education for Nurses Institute

Promoting Diversity through Simulation

• Ensure manikins, task trainers, Standardized Patients are diverse

• Refrain from using biases in your scenarios/case studies

• Add cultural considerations to all patient backgrounds

• Design scenarios focused on cultural awareness

Lessons Learned

Selection of activities should be based on learning objectives and outcomes.

Think outside the box and be flexible.

Use your resources.

Be prepared for technical glitches and learning curves.

Collaboration is key.

What are we going to keep post-COVID-19? What’s the correct balance?

Gaea Daniel, PhD, RN

Postdoctoral fellow at Emory University

Objectives

• Tips for engaging students

• Resource

• Virtual simulation demonstration

Tips for engaging students

• Set expectations at the beginning of the simulation

• Provide supplemental materials for preparation

• Prepare discussion questions

• Share professional experiences

The National League for Nursing provides:

• Free resources

• Paid resources

NLN ACE Cases

Advancing Care Excellence

Vulnerable Populations

• Seniors

• Alzheimer’s Patients and Caregivers

• Veterans

• Persons with Disabilities

• Pediatrics

ACE Unfolding Cases

Millie Larsen Example

ARISE Simulations

Chippewa Valley Technical College

Topics

• Assessments

• Diagnoses

• Skills

How it works

• Requires an iPad or iPhone

• Download application: Search “ARIS”

Simulations

Teaching Plan

Videos

Virtual Healthcare Experience Portal

Centennial College, Ryerson University, and George

Brown College.

Focus Areas:

• Emergency

• Maternal & Child Health

• Medical-Surgical

• Mental Health

• Pediatrics

Simulation Portal

Virtual Simulation Demonstration

Red River College & eTV Learning Technologies

• Disaster management scenario:

• Simulation

• Theory

• Quiz

• Debrief

Turbulent Sky Homepage

Discussion Questions

1) What questions, comments or reactions do you have?

Press #6 on your telephone key pad to unmute your phone to

answer or ask a question

OR

Use the “chat” feature to send “everyone” a question.

If you are having trouble asking a question, please click the

“Raise Hand” button on the bottom right of your screen

www.facebook.com/campaignforaction www.twitter.com/campaign4action

Campaign Resources

Visit us on the web at www.campaignforaction.org

For webinar resources:

http://campaignforaction.org/resources